Individual
MICHELLE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BUFFALO RD STE 1, LEWISBURG, PA 17837-1239
(570) 523-6787
Mailing address
119 S 16TH ST APT 4, LEWISBURG, PA 17837-1685
(570) 495-6264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007740
PA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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